FROM:Zoning Board of Appeals

TO:Applicant

FROM:Zoning Board of Appeals

RE:Application for Variance

......

Attached is an application for a Variance, a Short Environmental Assessment Form and a Notice of Public Hearing. To process your request, you must fill out the application and the Short Environmental Assessment Form and return them to:

Ms. Nikki Bereznak, Clerk

119 Mansion Street

Coxsackie, New York 12087

If you are a commercial business, the fee that must accompany your request is $200. If you are a private resident, the fee is $50. You must enclose a check payable to the Village of Coxsackie in order to process your request.

Additionally, the applicant is required to notify all affected landowners of this request. The attached Notice of Public Hearing form should be used for this purpose, but not until the Zoning Board of Appeals schedules your Public Hearing, and then the following instructions must be followed:

“The applicant is responsible for mailing notices of the public hearing

to interested land owners of the affected property so that the notice

is received at least ten (10) days prior to the public hearing.

‘Interested landowners’ are those persons who own properties within 500’

of the affected property, including landowners directly across the road, if any,from the affected property, and the landowners adjoining on the right

and left of the property across the road. Notices must be sent certified,

return receipt requested and the green return cards must be filed with

the Zoning Board of Appeals prior to the public hearing.”

The Village Clerk can advise you as to the date for the next scheduled Zoning Board of Appeals Meeting and of the application deadline for that meeting.

ZONING BOARD OF APPEALS

Village of Coxsackie

APPLICATION FOR VARIANCE

FOR OFFICE USE ONLY

Chairperson

Zoning Board of AppealsCase No. ______

Date Received: ______

Hearing Date: ______

Date of Action: ______

Action: ______

To the Zoning Board of Appeals:

A.Statement of Ownership and Interest

The applicant(s) ______

is/are the owner(s) of property situated at the following address: ______

______Tax Map No. ______

The above described property was acquired by applicant on ______

B.Type of Variance Requested

Area ______

Use ______

C.Describe need for area variance or proposed use, if application is for use

Variance: ______

______

______

D.For Area Variance, please state:

1.What practical difficulties, if any, would arise if the area variance is

not granted: ______

______

______

2.How would the variance affect the character of the district?

______

______

______

E.For Use Variance, please state the following:

1.Would undue hardship be created if variance is not granted? If yes,

please explain: ______

______
______

2.How would the variance affect the character of the district?

______

______

______

______

Signature

______

Printed Name

______

______

Mailing Address

______

Telephone Number

TO COMPLETE YOUR VARIANCE APPLICATION

YOU MUST ALSO SUBMIT THE FOLLOWING:

1.Area map showing the location of the property:

a.Submit an 8 ½” x 11” photocopy of the

appropriate section of the local tax map

of the applicant’s property.

b.Copy of survey map of the applicant’s

property, if available.

2.A copy of Building Permit application, if applicable.

3.Written determination from the Building Inspector.

4.Copy of deed.

NOTICE OF PUBLIC HEARING

There will be a Public Hearing before the Village of

Coxsackie Zoning Board of Appeals on

______, ______, ______, at ______p.m. at

(Month) (Day) (Year) (Time)

Village of Coxsackie Village Hall, 119 Mansion Street, Coxsackie,

New York.

The subject of the Public Hearing will be the Variance

Application filed by ______for property located

(Name of Applicant)

at ______, bearing Tax Map

(Address of Property)

Number ______for the purpose of ______.

______

(Applicant’s Signature)

______

(Address)

______